Individual
ANGELA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
550 TRIBBLE RD, SHERMAN, TX 75090-7564
(903) 815-3042
Mailing address
550 TRIBBLE RD, SHERMAN, TX 75090-7564
(903) 815-3042
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
680525
TX
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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